| Village Therapy Resourcles Llc | |
|
318 Shelton St Chadron NE 69337-2312 | |
| (308) 432-5437 | |
| (308) 432-5437 |
| Full Name | Village Therapy Resourcles Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 318 Shelton St, Chadron, Nebraska |
| Authorized Official Name and Position | Teena Ionne Kendrick (PRESIDENT) |
| Authorized Official Contact | 3084325437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Therapy Resourcles Llc 318 Shelton St Chadron NE 69337-2312 Ph: (308) 432-5437 | Village Therapy Resourcles Llc 318 Shelton St Chadron NE 69337-2312 Ph: (308) 432-5437 |
| NPI Number | 1619091378 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619091378 | NPI | - | NPPES |
| 10025487200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1587 (Nebraska) | Primary |
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